The patient‑related factors in revision procedures on tibia of patients with osteogenesis imperfecta treated with the Peter‑Williams nail

This study investigates factors affecting the need for repeat surgeries on the tibia (shin bone) in patients with osteogenesis imperfecta (OI) who are treated with Peter-Williams nails. The study found that the age at the time of the initial surgery and the type of OI a patient has significantly influence the likelihood of needing a revision surgery. Specifically, patients with type III OI who had their initial surgery between the ages of 9 and 12 had a lower revision rate. The study also observed a higher occurrence of bone deformities after surgery in patients with type III OI.

• 1
  The age of initial surgery significantly correlates with revision procedures (OR = 0.83, 95% CI 0.76–0.92, P < 0.001).
• 2
  Classification of osteogenesis imperfecta significantly impacts revision procedures (OR = 3.32, 95% CI 1.06–10.39, P = 0.039).
• 3
  In type III OI patients, initial operation age was significantly correlated with revision procedures (P < 0.001), with lower revision rates in those aged 9-12 years (P = 0.001).